Douglas Wesley White (NPI# 1538140322, PAC ID# 7012055973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1538140322 |
| PAC ID by PECOS | 7012055973 |
| Professional Enrollment ID | I20140214001636 |
| Full Name | Douglas Wesley White |
| Organization Legal Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Address |
111 S 5 St Douglas WY 82633-2434 |
| Phone Number | 3073582122 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2264340843 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 531302 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 511301 | WEBSTER COUNTY MEMORIAL HOSPITAL |
| 180040 | JEWISH HOSPITAL & ST MARY'S HEALTHCARE |
| 510058 | CAMDEN CLARK MEDICAL CENTER |
| 530012 | WYOMING MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 S 5 St, Douglas, WY 82633-2434 | 3073582122 | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| 1019 Foxhill Rd, North Salt Lake, UT 84054-3026 | 3044242111 | PARKERSBURG RADIOLOGY SERVICES INC |
| 1019 Foxhill Rd, North Salt Lake, UT 84054-3026 | 8004664723 | IRAD SERVICES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 1% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 1% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 1% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 1% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 1% |
| Organization Legal Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Physicians | 39 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon T Erickson | Physician Assistant | Memorial Hospital of Converse County | 5820 E 2nd St, Casper, WY 82609-4308 |
| Allan L Mattern | Cardiovascular Disease (cardiology) | Memorial Hospital of Converse County | 700 E Ctr St, Douglas, WY 82633-2446 |
| Kellie D Clausen | Nurse Practitioner | Memorial Hospital of Converse County | 111 S 5th St, Douglas, WY 82633-2434 |
| Loren B Thiel | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| James Bruce Odone | Diagnostic Radiology | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Patrick A Robertson | Orthopedic Surgery | Memorial Hospital of Converse County | 201 14th St, Wheatland, WY 82201-3201 |
| James F Morgan | Family Medicine | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Eric B Schubert | Neurosurgery | Memorial Hospital of Converse County | 745 Buena Vista Dr, Lander, WY 82520-3431 |
| Burk T Young | Orthopedic Surgery | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Roberto Fars | Hospitalist | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Street Address |
111 S 5 ST |
| City | DOUGLAS |
| State | WY |
| Zip | 82633-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron Bernal | Physical Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Loren B Thiel | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| James Bruce Odone | Diagnostic Radiology | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| James F Morgan | Family Medicine | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Michael R Boulter | Physical Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Meghann M Mcandrew | Physical Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Shelby Hoskinson | Occupational Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Burk T Young | Orthopedic Surgery | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Nathaniel John Eakins | Physical Therapy | North Platte Physical Therapy Services Inc | 111 S 5 St, Douglas, WY 82633-2434 |
| Roberto Fars | Hospitalist | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark G Murphy | Orthopedic Surgery | Thunder Basin Orthopaedics and Sports Medicine PC | 808 Riverbend Dr, Douglas, WY 82633-2054 |
| Sandra Susanne Gebhart | Hand Surgery | Thunder Basin Orthopaedics and Sports Medicine PC | 808 Riverbend Dr, Douglas, WY 82633-2054 |
| Tristyn Richendifer | Physician Assistant | Thunder Basin Orthopaedics and Sports Medicine PC | 808 Riverbend Dr, Douglas, WY 82633-2054 |
| Joseph F Allegretto | Orthopedic Surgery | Thunder Basin Orthopaedics and Sports Medicine PC | 808 Riverbend Dr, Douglas, WY 82633-2054 |
| Wayne Manly Hudson | Optometry | 124 N 4th St, Douglas, WY 82633-2402 | |
| Kellie D Clausen | Nurse Practitioner | Memorial Hospital of Converse County | 111 S 5th St, Douglas, WY 82633-2434 |
| Kelsey Michelle Nelson | Occupational Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Sarah Boner | Physical Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Emily J Cook | Physical Therapy | Big Country Rehabilitation LLC | 111 S 5 St, Douglas, WY 82633-2434 |
| Cesar Garcia | Physician Assistant | Memorial Hospital of Converse County | 111 S 5 St, Douglas, WY 82633-2434 |
| Find all physicians in zip 82633 | |||
| City | DOUGLAS |
| Zip Code | 82633 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DOUGLAS + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Douglas Wesley White.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.